Abstract |
An anterior operative procedure using a strut of fibular graft material was performed either alone or in combination with a posterior stabilization in five patients with cervical spine instability secondary to neoplastic disease. Osseous tumor was present in four of the five patients ( osteoblastoma, metastatic adrenal carcinoma, metastatic renal cell carcinoma, multiple myeloma) and the fifth had spine instability as a result of a posterior decompression for cervical spinal cord glioma. The anterior approach using fibula to replace diseased vertebrae and provide axial support for the neck was a valuable therapeutic modality in this group of patients, all of whom had a limited life expectancy. Cervical spine stability obtained by operative intervention led to a reduction of neck pain and maintenance of ambulation until the neoplastic condition became terminal.
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Authors | F K Conley, R H Britt, J W Hanbery, G D Silverberg |
Journal | Journal of neurosurgery
(J Neurosurg)
Vol. 51
Issue 5
Pg. 677-84
(Nov 1979)
ISSN: 0022-3085 [Print] United States |
PMID | 501408
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adenocarcinoma
(complications, surgery)
- Adult
- Carcinoma
(complications, surgery)
- Cervical Vertebrae
(surgery)
- Fibula
(transplantation)
- Glioma
(complications, surgery)
- Humans
- Male
- Middle Aged
- Multiple Myeloma
(complications, surgery)
- Osteoma, Osteoid
(complications, surgery)
- Spinal Diseases
(etiology, surgery)
- Transplantation, Autologous
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